Provider Demographics
NPI:1356344014
Name:MURPHREE, JEAN T (MD)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:T
Last Name:MURPHREE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5282 MEDICAL DR
Mailing Address - Street 2:STE 500
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-6071
Mailing Address - Country:US
Mailing Address - Phone:210-614-7594
Mailing Address - Fax:210-614-3391
Practice Address - Street 1:5282 MEDICAL DR
Practice Address - Street 2:STE 500
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-6071
Practice Address - Country:US
Practice Address - Phone:210-614-7594
Practice Address - Fax:210-614-3391
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE5333207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC19716Medicare UPIN
TX8851J1Medicare ID - Type Unspecified